Correlation of milk tea consumption with comorbid overweight/obesity and depressive symptoms among college students
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摘要:
目的 探讨大学生奶茶消费行为与超重肥胖和抑郁症状共患的关联,为促进大学生身心健康提供参考。 方法 2023年8—10月,采用方便抽样方法从上海、江西、湖北3省(直辖市)9所高校抽取13 920名大学生进行问卷调查,获取大学生一般人口学特征、奶茶消费情况、超重肥胖情况、抑郁症状等信息。运用χ2检验比较不同人口学特征及奶茶消费与超重肥胖抑郁症状共患的关联,采用多元Logistic回归分析关联强度。 结果 大学生超重肥胖抑郁症状共患检出率为5.8%。单因素分析结果显示,大学生超重肥胖抑郁症状共患检出率在不同性别、年级、父/母学历、独生子女情况、家庭经济状况、中高体力活动水平达标情况、睡眠质量、消费西式快餐情况组别中差异均有统计学意义(χ2值分别为82.10,23.07,8.91,10.87,4.56,47.60,17.60,386.74,96.61,P值均 < 0.05);并且在奶茶消费频次、奶茶消费量水平组间差异均有统计学意义(χ2值分别为42.12,38.76,P值均<0.01)。Logistic回归模型结果显示,相比未消费奶茶组,每周奶茶消费频次4~5和≥6次的大学生超重肥胖抑郁症状共患风险更高(OR值分别为1.98,2.46);每周奶茶消费量1~1 500和≥3 000 mL的大学生超重肥胖抑郁症状共患风险更高(OR值分别为1.52,1.22)(P值均<0.05)。 结论 大学生经常性、超量的奶茶消费可能增加超重肥胖及抑郁症状的共患的风险。应减少大学生奶茶的消费频次和消费量水平,以改善大学生的身心健康。 Abstract:Objective To explore the association of milk tea consumption with comorbid of overweight/obesity and depressive symptoms among college students, so as to provide a reference for promoting the physical and mental health of college students. Methods A questionnaire survey was conducted from August to October 2023 using convenience sampling among 13 920 students from nine universities in Shanghai, Jiangxi, and Hubei provinces (municipality directly under the central government). Information on college students' demographic characteristics, milk tea consumption, overweight/obesity status, and depressive symptoms was collected. Chi-square tests were used to compare the association between different demographic characteristics and milk tea consumption with comorbid overweight/obesity and depressive symptoms. Multivariate Logistic regression analysis was performed to infer the strength of the association. Results The detection rate of comorbidity of overweight/obesity and depressive symptoms was 5.8% among college students. The univariate analysis revealed statistically significant differences in the detection rate of comorbidity of overweight/obesity and depressive symptoms among various groups, including gender, grade, parents' education level, only child status, family economic status, meeting moderate to high levels of physical activity standards, sleep quality, and frequent fast food consumption (χ2=82.10, 23.07, 8.91, 10.87, 4.56, 47.60, 17.60, 386.74, 96.61, P < 0.05). There were also statistically significant differences between groups based on milk tea consumption frequency and quantity (χ2=42.12, 38.76, P < 0.01). Compared with the group of without consuming milk tea, Logistic regression analysis showed that college students who consumed milk tea 4-5 times and ≥6 times had higher risk of comorbid overweight/obesity and depressive symptoms (OR=1.98, 2.46), and college students who consumed 1-1 500 mL and ≥3 000 mL of milk tea also had higher comorbidity risk (OR=1.52, 1.22) (P < 0.05). Conclusions Frequent and excessive milk tea consumption among college students may increase the risk of comorbid of overweight/obesity and depressive symptoms. It is recommended to reduce the frequency and quantity of milk tea consumption to improve college students' physical and mental health. -
Key words:
- Beverages /
- Overweight /
- Obesity /
- Depression /
- Comorbidity /
- Regression analysis /
- Students
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同组别大学生超重肥胖抑郁症状共患检出率比较
Table 1. Comparison of the detection rates of overweight and obesity and depressive symptom among college students in different groups
组别 选项 人数 共患人数 χ2值 P值 性别 男 5 583 448(8.0) 82.10 < 0.01 女 8 337 363(4.4) 户籍所在地 城镇 5 885 354(6.0) 0.67 0.42 农村 8 035 457(5.7) 年级 大一 8 229 415(5.0) 23.07 < 0.01 大二 2 713 183(6.7) 大三 1 798 131(7.3) 大四 1 180 82(6.9) 父亲学历 小学及以下 2 025 142(7.0) 8.91 0.03 初中 5 478 288(5.3) 高中/中专 3 997 232(5.8) 大学及以上 2 420 149(6.2) 母亲学历 小学及以下 3 550 230(6.5) 10.87 0.01 初中 5 052 270(5.3) 高中/中专 3 387 178(5.3) 大学及以上 1 931 133(6.9) 家庭结构 原生家庭 12 292 705(5.7) 1.58 0.66 重组家庭 525 34(6.5) 单亲家庭 949 62(6.5) 其他 154 10(6.5) 独生子女 是 4 187 271(6.5) 4.56 0.03 否 9 733 540(5.5) 家庭经济状况 很差 657 66(10.0) 47.60 < 0.01 较差 2 524 191(7.6) 一般 9 193 475(5.2) 较好 1 363 64(4.7) 很好 183 15(8.2) 中高体力活动水平 是 6 338 427(6.7) 17.60 < 0.01 是否达标 否 7 582 384(5.1) 睡眠质量不良 是 2 259 332(14.7) 386.74 < 0.01 否 11 661 479(4.1) 经常消费西式快餐 是 1 051 133(12.7) 96.61 < 0.01 否 12 869 678(5.3) 每周奶茶消费 0 6 348 389(6.1) 频次 1~3 7 263 380(5.2) 4~5 185 22(11.9) ≥6 124 20(16.1) 42.12 < 0.01 每周奶茶消费量 0 6 348 389(6.1) 水平/mL 1~1 500 675 37(5.5) >1 500~ < 3 000 4152 174(4.2) ≥3 000 2 745 211(7.7) 38.76 < 0.01 注:()内数字为检出率/%。 表 2 大学生奶茶消费情况与超重肥胖抑郁症状共患的Logistic回归分析(n=13 920)
Table 2. Logistic regression analysis of co-occurrence of overweight, obesity and depressive symptoms in college students with milk tea consumption(n=13 920)
自变量 选项 β值 标准误 Wald χ2值 OR值(95%CI) 每周奶茶消费 0 1.00 频次 1~3 10.03 0.08 0.10 1.03(0.88~1.19) 4~5 0.68 0.24 8.42 1.98(1.25~3.15)** ≥6 0.90 0.25 12.61 2.46(1.50~4.04)** 每周奶茶消费 0 1.00 水平/mL 1~1 500 0.42 0.11 14.73 1.52(1.23~1.88)** >1 500~ < 3 000 0.29 0.19 2.32 1.33(0.92~1.93) ≥3 000 0.20 0.09 4.56 1.22(1.02~1.47)* 注:调整性别、年级、父亲学历、母亲学历、独生子女、自评家庭经济状况、中高体力活动水平是否达标、睡眠质量不良、经常消费西式快餐因素;*P<0.05,**P < 0.01。 -
[1] 尤继富. 吉林省大学生超重肥胖现状及其影响因素[J]. 中国卫生工程学, 2021, 20(5): 737-740.YOU J F. The influencing factors of obesity among college students in Jilin Province[J]. Chin J Public Health Eng, 2021, 20(5): 737-740. (in Chinese) [2] 高雷, 孟佳, 李娟娟, 等. 浙江省7~22岁学生超重肥胖现况调查[J]. 预防医学, 2021, 33(12): 1215-1219.GAO L, MENG J, LI J J, et al. A cross-sectional study of overweight and obesity among 7-22 year-old students in Zhejiang Province[J]. Prev Med, 2021, 33(12): 1215-1219. (in Chinese) [3] GHROUZ A K, NOOHU M M, DILSHAD M M, et al. Physical activity and sleep quality in relation to mental health among college students[J]. Sleep Breath, 2019, 23(2): 627-634. doi: 10.1007/s11325-019-01780-z [4] KALKBRENNER M T, JOLLEY A L, HAYS D G. Faculty views on college student mental health: implications for retention and student success[J]. J Coll Stud Retent, 2021, 23(3): 636-658. doi: 10.1177/1521025119867639 [5] 傅小兰, 张侃. 中国国民心理健康发展报告2021—2022[M]. 北京: 社会科学文献出版社, 2023.FU X L, ZHANG K. Report on national mental health development in China in 2021-2022[M]. Beijing: Social Science Documentation Publishing House, 2023. (in Chinese) [6] JEBEILE H, KELLY A S, O'MALLEY G, et al. Obesity in children and adolescents: epidemiology, causes, assessment, and management[J]. Lancet Diabetes Endocrinol, 2022, 10(5): 351-365. doi: 10.1016/S2213-8587(22)00047-X [7] BENHEIM T S, DALAL M, HOLCOMB J M, et al. Back to basics: lifestyle interventions for adolescent depression[J]. Harv Rev Psychiatry, 2022, 30(5): 283-302. doi: 10.1097/HRP.0000000000000343 [8] CHERMON D, BIRK R. FTO common obesity SNPs interact with actionable environmental factors: physical activity, sugar-sweetened beverages and wine consumption[J]. Nutrients, 2022, 14(19): 4202. doi: 10.3390/nu14194202 [9] SAKAI H, MURAKAMI K, KOBAYASHI S, et al. Food-based diet quality score in relation to depressive symptoms in young and middle-aged Japanese women[J]. Br J Nutr, 2017, 117(12): 1674-1681. doi: 10.1017/S0007114517001581 [10] 陆俊波, 郭晋, 罗燎, 等. 大学生含糖饮料消费与身体体能指数的关联[J]. 中国学校卫生, 2023, 44(8): 1207-1210, 1215. doi: 10.16835/j.cnki.1000-9817.2023.08.020LU J B, GUO J, LUO L, et al. Association between sugar-sweetened beverage consumption and physical fitness index among college students[J]. Chin J Sch Health, 2023, 44(8): 1207-1210, 1215. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.08.020 [11] 屈宁宁, 李可基. 国际体力活动问卷中文版的信度和效度研究[J]. 中华流行病学杂志, 2004, 25(3): 87-90.QU N N, LI K J. Study on the reliability and validity of iNternational Physical Activity Questionnaire (Chinese Vision, IPAQ)[J]. Chin J Epidemiol, 2004, 25(3): 87-90. (in Chinese) [12] WHO. Global recommendation on physical activity for health[R]. Geneva: WHO, 2010. [13] BUYSSE D J, REYNOLDS Ⅲ C F, MONK T H, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28(2): 193-213. doi: 10.1016/0165-1781(89)90047-4 [14] 国际生命科学学会中国办事处中国肥胖问题工作组联合数据汇总分析协作组. 中国成人体质指数分类的推荐意见简介[J]. 中华预防医学杂志, 2001, 35(5): 62-63.International Society for Life Sciences China Office and China Obesity Working Group Joint Data Aggregation and Analysis Collaboration Group. Summary of recommendations on body mass index classification of Chinese adults[J]. Chin J Prev Med, 2001, 35(5): 62-63. (in Chinese) [15] LOVIBOND P F, LOVIBOND S H. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories[J]. Behav Res Therap, 1995, 33(3): 335-343. doi: 10.1016/0005-7967(94)00075-U [16] 马彩霞, 马军, 宋逸, 等. 内蒙古地区学生超重肥胖与抑郁共患影响因素分析[J]. 中国学校卫生, 2023, 44(9): 1308-1312, 1318. doi: 10.16835/j.cnki.1000-9817.2023.09.007MA C X, MA J, SONG Y, et al. Co-morbidity of overweight, obesity and depression and its influencing factors among students in Inner Mongolia Autonomous Region[J]. Chin J Sch Health, 2023, 44(9): 1308-1312, 1318. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.09.007 [17] WANG V H, MIN J, XUE H, et al. What factors may contribute to sex differences in childhood obesity prevalence in China?[J]. Public Health Nutr, 2018, 21(11): 2056-2064. doi: 10.1017/S1368980018000290 [18] 孙乡, 戴剑松, 孙飙. 大学生体力活动与心理健康关系的研究[J]. 南京体育学院学报(社会科学版), 2009, 23(6): 67-71.SUN X, DAI J S, SUN B. Study on the relationship between college students' physical activity and mental health[J]. J Nanjing Univ Phys Educ (Soc Sci Edit), 2009, 23(6): 67-71. (in Chinese) [19] 龚清海, 李辉, 王锋, 等. 宁波市青少年睡眠与超重肥胖的相关性[J]. 中国学校卫生, 2017, 38(10): 1493-1495, 1499. doi: 10.16835/j.cnki.1000-9817.2017.10.016GONG Q H, LI H, WANG F, et al. Relations between sleep duration and obesity/overweight among adolescents in Ningbo[J]. Chin J Sch Health, 2017, 38(10): 1493-1495, 1499. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.10.016 [20] 白英龙, 许志勇, 牛欣, 等. 沈阳市初中生超重肥胖和含糖饮料摄入关联性分析[J]. 中国学校卫生, 2020, 41(1): 113-116. doi: 10.16835/j.cnki.1000-9817.2020.01.030BAI Y L, XU Z Y, NIU X, et al. Analysis of the association between overweight and obesity and sugar-sweetened beverage intake in junior middle school students in Shenyang[J]. Chin J Sch Health, 2020, 41(1): 113-116. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.01.030 [21] WU Y, LU Y, XIE G. Bubble tea consumption and its association with mental health symptoms: an observational cross-sectional study on Chinese young adults[J]. J Affect Disord, 2022, 299: 620-627. doi: 10.1016/j.jad.2021.12.061 [22] 赵润茏, 周若宇, 张玥, 等. 北京市某区市售奶茶糖含量测定及青年人群知信行调查[J]. 食品安全质量检测学报, 2021, 12(6): 2160-2165.ZHAO R L, ZHOU R Y, ZHANG Y, et al. Determination of sugar content in milk tea sold in a district of Beijing and KAP survey of young people[J]. J Food Safety Qual, 2021, 12(6): 2160-2165. (in Chinese) [23] DINICOLANTONIO J J, MEHTA V, ONKARAMURTHY N, et al. Fructose-induced inflammation and increased cortisol: a new mechanism for how sugar induces visceral adiposity[J]. Prog Cardiovasc Dis, 2018, 61(1): 3-9. doi: 10.1016/j.pcad.2017.12.001 [24] ERIKSSON M C M, LUNDGREN J, HELLGREN M, et al. Association between low internal health locus of control, psychological distress and insulin resistance. An exploratory study[J]. PLoS One, 2023, 18(5): e0285974. doi: 10.1371/journal.pone.0285974 [25] 李秋利, 关尚一, 张少生. 大学生体力活动、心肺耐力与抑郁风险关系的纵向研究[J]. 山东体育学院学报, 2015, 31(4): 78-82.LI Q L, GUAN S Y, ZHANG S S. Longitudinal study of physical activity, cardiorespiratory fitness and risk of depression among college students[J]. J Shandong Sport Univ, 2015, 31(4): 78-82. (in Chinese) [26] 袁潇潇, 张磊, 吴明洋, 等. 生活方式与大学生抑郁症状的关联[J]. 现代预防医学, 2024, 51(12): 2221-2227, 2247.YUAN X X, ZHANG L, WU M Y, et al. Associations between lifestyle and depression symptoms among college students[J]. Mod Prev Med, 2024, 51(12): 2221-2227, 2247. (in Chinese) [27] FALBE J, THOMPSON H R, PATEL A, et al. Potentially addictive properties of sugar-sweetened beverages among adolescents[J]. Appetite, 2019, 133: 130-137. doi: 10.1016/j.appet.2018.10.032 [28] JIN M J, YOON C H, KO H J, et al. The relationship of caffeine intake with depression, anxiety, stress, and sleep in Korean adolescents[J]. Korean J Fam Med, 2016, 37(2): 111. doi: 10.4082/kjfm.2016.37.2.111 [29] 史泽环, 孙卓, 宋琪, 等. 上海122种市售现制奶茶中的营养成分[J]. 环境与职业医学, 2023, 40(7): 756-760, 768.SHI Z H, SUN Z, SONG Q, et al. Nutrient content of 122 kinds of retail handcrafted milk tea products in Shanghai[J]. Environ Occup Med, 2023, 40(7): 756-760, 768. (in Chinese) [30] GINTER E, SIMKO V. New data on harmful effects of trans-fatty acids[J]. Bratisl Lek Listy, 2016, 117(5): 251-253. -

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